NPI | 1659796332 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG MCLAWS CEO 406-252-5444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MT 165) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2025-08-22 |